KENNETH WILLIAM MYERS


Address: 1017 Ashes Dr, Suite 206, Wilmington, NC 28405-8352
Phone: 9102399584

KENNETH WILLIAM MYERS (NPI# 1538159777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538159777
Entity Type Individual
Full Name KENNETH WILLIAM MYERS
Credential M.D.
Practice Address 1017 Ashes Dr
Suite 206
Wilmington
NC 28405-8352
Practice Telephone 9102399584
Practice Fax Number 9106794086
Mailing Telephone 9102399584
Mailing Fax Number 9106794086
Enumeration Date 2005-10-27
Last Update Date 2015-11-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology 200000282 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC MEDICARE PTAN 2280408 01
NC 89126T6 05

Other Providers KENNETH MYERS

NPI Name Taxonomy Address Enumeration
1609306224 Kenneth Myers Jr. Registered Nurse 73 King Charles Lane, Newtown, PA 18940 2017-06-15
1194002295 Kenneth E Myers Social Worker 275 7th Ave Rm 2501, New York, NY 10001-8400 2011-11-03
1942390034 Kenneth E Myers Dentist 2 Blackstrap Rd, Falmouth, ME 04105-2238 2006-10-13
1891718938 Kenneth Geoffrey Myers Social Worker 13914 Rock Still Ct, Clifton, VA 20124-2529 2006-07-26
1780602078 Kenneth K. Myers Dentist 225 Eagle Crest Drive, Rangely, CO 81648 2006-07-17
1457333122 Kenneth Patrick Myers Chiropractor 9033 Baseline Rd, Suite Q, Rancho Cucamonga, CA 91730-1255 2005-11-17
1629696331 Kenneth James Myers Pharmacist 4214 E Indian School Rd Ste 103, Phoenix, AZ 85018-5339 2020-07-09
1285166256 Kenneth Myers Jr. Physical Therapist 2855 Westminster Plaza Dr, Houston, TX 77082-2960 2017-03-29
1053862128 Kenneth George Myers Jr. Counselor 1511 W 3rd Ave, Suite 104, Albany, GA 31707-3695 2016-10-24
1740684638 Kenneth Elwood Myers IIi Nurse Practitioner 2501 N 3rd St, Harrisburg, PA 17110-1904 2014-10-21

Office Location

Street Address 1017 ASHES DR
SUITE 206
City WILMINGTON
State NC
Zip Code 28405-8352

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023030459 Sean R. Lucas Allergy & Immunology 1017 Ashes Dr, Suite 206, Wilmington, NC 28405-8308 2006-07-24
1649201724 The Peedee Clinic Family Medicine 1017 Ashes Dr, Suite 100, Wilmington, NC 28405-8352 2006-07-06
1316937477 Alex Garhoe Yip Allergy & Immunology 1017 Ashes Dr, Suite 206, Wilmington, NC 28405-8352 2005-10-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376155507 Evan Michael Vallee Dentist 5023 Market Street Wilmington, Wilmington, NC 28405 2020-08-19
1447725098 Addictioncare 101 Psychiatry & Neurology 311 4 E Judges Road, Wilmington, NC 28405 2018-10-10
1659861649 Brianna Jane Gausman Physical Therapist 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 2018-05-15
1205346756 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 6427a Windmill Way, Wilmington, NC 28405 2017-10-10
1710345400 Martha Arielle Walker Physician Assistant 6727 Parker Farm Dr, Wilmington, NC 28405 2016-02-09
1033549910 Christine Urban Bruin Psychologist 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 2013-11-14
1487083358 Aci Support Specialists Day Training, Developmentally Disabled Services 117 Spartan Road, Wilmington, NC 28405 2013-11-01
1487902334 Carolina Vision Associates, Od, Pa Optometrist 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 2012-08-27
1568718328 Cameron Nichole Ford Occupational Therapy Assistant 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 2012-07-31
1881959534 Ashley Brennen Cook Speech-Language Pathologist 4613 Trafalgar Rd, Wilmington, NC 28405 2012-07-09
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1518347095 Michelle Marie Clark Allergy & Immunology 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 2015-06-01
1902217565 Anusha Vadlamudi Allergy & Immunology 1017 Ashes Dr Ste 206, Wilmington, NC 28405-8308 2014-05-16
1104913417 Allergy and Asthma Center, Inc Allergy & Immunology 110 Fairway Dr, Suite # 2, Wilmington, OH 45177-8756 2006-10-06
1548353345 Leonard H Seltzer Allergy & Immunology 1309 Veale Rd, Suite 11, Wilmington, DE 19810-4609 2006-10-02
1760495097 Michael Wydila Allergy & Immunology 1400 Philadelphia Pike, Suite A6, Wilmington, DE 19809 2006-08-15
1861470767 Gregory V. Marcotte Allergy & Immunology 1700 Shallcross Ave, Suite 1, Wilmington, DE 19806-2344 2006-01-03
1831189992 Allergy Partners, Pllc Allergy & Immunology 1017 Ashes Drive, Suite 206, Wilmington, NC 28405-8308 2005-10-28
1912997156 Donald Miles Macqueen Allergy & Immunology 2321 Delaney Rd, Wilmington, NC 28403-6012 2005-10-27
1912904038 David Peter Wien Allergy & Immunology 708 Greenbank Rd, Wilmington, DE 19808-3168 2005-07-05
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City WILMINGTON
Zip Code 28405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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